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  1. This is very long, like novel length--I'm sorry. So I have a dilemma. I applied for two internal positions at the company I work for, which specializes in mental health and substance abuse. One is a nurse manager position of our inpatient unit, and the other is utilization management. I only applied for the nurse manager position because the nurse administrator really wants me in that position. I was hesitant about it at first, because soon it's going to be an involuntary unit which makes for an extremely stressful atmosphere. One of the supervisors (non-clinical) on another unit got choked out today, and that's a voluntary unit! So yeah, involuntary is even rougher. But, thinking about the money definitely made me excited. It's $86,000 per year. The schedule is flexible, usually M-F 8-4 but they usually leave early. The positives are: flexible-ish schedule, money and experience. It would be my first supervisor position, so that would look good on my resume. The cons are: on call once a month and you only get an extra $100 for the entire week, high stress, high turnover, lots of call outs, and if one if the floors is short and three rounds of bonuses don't turn up a nurse who's willing to work, one of the three supervisors have to work it--and I don't think we get the bonus. Now, the utilization management position is something I willingly applied for before I knew about the nurse manager position. I know a nurse who does it and she LOVES it. She actually used to be a supervisor and said she'd choose UM over that any day (so maybe there's my answer?) but maybe she doesn't need as much money as I do. I have five kids and I think she has like one who's grown already, so yeah, big difference in terms of financial responsibilities. Pros: I will be able to work from HOME after a few months of training!!!! This is huge for me. I worked from home for 7 years and miss it a lot. Also, I will get experience in UM (which I've wanted for years now) and there are tons of insurance companies that hire nurses work from home, so if I ever need to move on from this company there are many options. The schedule is flexible. They said if I need to take a few hours off one day, I can just work a few extra hours the next day to make up for it. One of the main pros is that I won't get choked out by angry patients because there's no patient care involved at all. Cons: less money. That's the only con. I think it's mid 70's per year but I have no idea. I'm really leaning towards the UM position, but here's the main dilemma. After the interview, they said it may take a few weeks to hear back because they have other interviews scheduled. I feel like I will get an offer, because the director of nursing seemed impressed and after we left her office, the head of UM told me "that was awesome" in regards to how I did. I was supposed to have a second interview for the manager position yesterday, but that fell through and they have to reschedule (maybe that's a sign to not do it?). I'm 99% sure I'd get that position, and I'm sure that the offer will come quickly after the interview because the current manager's last day is this Friday and they need to replace him quick. So what if I get an offer for the supervisor position while I'm waiting for the UM offer? I don't think they'd let me wait weeks to accept the offer, and what if I never even end up getting the offer for UM? I'm fairly content with my current position, so if I passed up the supervisor position and didn't get the UM position I wouldn't be stuck in a crappy job. I don't know. Sorry for rambling. I ramble when I'm stressed. What would you guys do if you were me? Which job sounds better? And thank you to those of you who actually read through all of this.
  2. designer-mommy

    I Failed 4 Times, But.....

    Congrats! That's so exciting! I bet you're sooooo glad it's over. How long has it been since you graduated nursing school?
  3. Sorry in advance, this is super long. So up until I became a nurse I was never a job hopper. I was a super loyal employee who stuck around. Well, I've been a nurse since 2014 and now my resume looks like I'm a crappy person. Who knows... maybe I am? I've quit and come back to the same company I work for currently TWICE. The first time was because a former coworker told me about her new job's awesome health benefits. Given the fact that my husband has CHF and ends up in the hospital with pneumonia any time he gets a cold, we need good health benefits. So I quit and soon found out that this new job expected me to lie through my teeth and break EMTALA all day long, so I only lasted 3 months. I had a huge ethical issue with that job. I came back to my old job and stayed there for 2 years. I quit because I just had a baby and they were going to force me to switch from day to night shift. I couldn't do it with a newborn (my husband works night shift so we can work around each other's schedules for childcare reasons, so I'd have to find a sitter for 5 kids). So I got a job working day shift. It was way different than what they explained in my interview and completely unsafe. Also, my baby was about 9 weeks old so I was still getting my milk supply up and I was going 6-7 hours with no break to pump. This is my last child so making breastfeeding work was very important. I quit and came back to my old job who agreed to only make me work 1 night shift. I only lasted 2 months at the other job. Horrible, I know. Ok now that I got that long, crazy story out of the way, I was wondering, do any of you have super short stints of work on your resume? How do you explain that? Does it hurt your chances of employment a lot? I'm afraid I'll be stuck at this job forever because no one will take me with my history, and I work in a field that I defifinitely don't want to work in for the rest of my life. I'm hoping I'll be ok, because most nurses I know personally have switched around a lot. Thanks!
  4. designer-mommy

    Banner new hire orientation

    I was just hired for a psych RN position at a Banner hospital in the valley. I'm psyched but nervous about orientation. I saw something on here about people not passing a math test on IV drip rates and losing their jobs. Is that true?! I'm good at math but I can't afford not to have a job right now! I have three years of experience but all as a psych nurse so my patients are all pretty medically stable and definitely no IVs so I'm rusty on my calculations. Anyone know what to expect at orientation for experienced nurses at Banner? Thanks!
  5. designer-mommy

    Dialysis nursing compatible with breastfeeding/pumping?

    Bump! I think I'm going to be applying for Davita. Being able to pump for my baby is extremely important to me. Is training and then working on the floor compatible with breastfeeding? Thanks!
  6. designer-mommy

    WARNING: Phoenix area is a TOUGH market for new grads

    Thanks so much! My "dream job" would be somewhere in WIS or NICU, but since I don't have my BSN yet I know I can't be picky. I just want to get in the Banner system, I don't care how I have to do it. I'll start my BSN one day in the near future, but now isn't the right time. Thanks again!
  7. designer-mommy

    WARNING: Phoenix area is a TOUGH market for new grads

    I've heard that Banner may be hiring ADN nurses, does anyone know if that's true? If so do they HAVE to be enrolled in a BSN program?
  8. designer-mommy

    RN-MSN program at Aspen University

    Does Aspen require chem and/or stats? Thanks!
  9. designer-mommy

    for those who work 12 hour shifts, how long is your lunch break?

    Technically we can run out and get something if we're starving but we bring it back and eat it while we're working. We just don't do that because one nurse has 30 plus patients and the other has 16 so we'd be responsible for almost 50 patients for the other nurses lunch break. They're so stinking understaffed where I work at its not even funny. I think that a nurse's job is so stressful that they need that lunch break--uninterrupted--to decompress.
  10. designer-mommy

    for those who work 12 hour shifts, how long is your lunch break?

    When I worked in retail I got an hour lunch if I worked 7.5 hours or more and I got two paid 15 minute breaks as well. It was nice.
  11. designer-mommy

    for those who work 12 hour shifts, how long is your lunch break?

    We get no break. I work 12 1/2 hours with no lunch break, no 15 minute breaks, nothing. It's ridiculous.
  12. designer-mommy

    Should I have to deal with this?

    I work in a psych/substance abuse facility, but I think this question is a better fit for the psych forum. So, here it goes: I struggle with my job A LOT. To say I hate it is an understatement. I don't feel like a nurse doing what I do. I feel like a legal drug dealer. About 90% of my patients just want free meds, and they make that fact well known. Anyway, something that happened last week just upped the ante and changed my job's status from "unbearable" to "completely unsafe and I need to get out of here ASAP." There is a 6'5" patient who is well known to cause TONS of problems and escalate very quickly that came onto my unit once again. He was there for psych problems but we were using the alcohol withdrawal protocol because he drinks also. Well, the ball was dropped two times and it could have cost me my life. About 15 minutes after my shift ended the patient went up to the peer support staff and handed him a fairly large pocket knife. He told him that he was keeping it in case he got depressed enough to slit his throat and then proceeded to say that he was thinking about "slicing up" the previous peer support because he didn't like how he treated him. He also said that he had a box of razor blades in his backpack that had been sitting behind the peer support's desk for hours and hours with easy access. Had this man decided to use that knife on us I wouldn't be here right now. He is huge. Why wasn't this knife found/confiscated on the crisis unit before he came over to my unit? And why wasn't it found by my peer support guy when he transferred over? Several people dropped the ball and it makes me angry. I already don't feel safe at my job. I have 16 patients on my unit and it is just me and the peer support guy on my shift. That's it. Now I have this experience weighing heavily on my brain and it isn't helping. I can't just up and quit. I have four kids and a sick husband, so yeah, we need the $$. Trust me, if I didn't need the money I would have quit months ago. I can't even tell you how many times I have cried about not wanting to go to this job. It's just horrible. The only good thing about my job is that my boss/coworkers are pretty awesome. I guess my question is this...should I have to put up with this as a psych nurse? Are psych nurses supposed to feel afraid of their patients? I'm terrified every single time I clock in. I have a great poker face though, and I don't let my patients see it. I still treat them with dignity and respect even though this job is sucking the soul right out of me. Thanks for reading my novel. I appreciate any input you all have!
  13. designer-mommy

    Do you go to work with vomiting/diarrhea?

    I work in a psych/chemical dependency unit. We have two sides, one for crisis with 30 beds and another with 16 beds which is more of a stabilization/transitional type service (that's my side). We have two RNs on at any given time, one on each side. Anyway, there is a virus running rampant on my unit. The patients are sick as dogs and so are many of the staff. I had it two weeks ago, and when I went to call in I was told that I needed to come in because they needed an 8 hour notice. Um, sure, 8 hours would be courteous but who really knows if they're going to be sick in 8 hours? That's a little unrealistic, especially with only 12 hours between shifts. I was actually trying to wait and see if the vomiting/diarrhea would go away, but it didn't. Well, they ended up calling in another nurse to work overtime and cover my shifts, thank God. There was absolutely no way that I could have worked that day. I was in the bathroom literally every five minutes. I'm the only nurse to those extremely needy med seekers, so I'm constantly being bombarded with "psychosis" episodes, PRN requests, etc. So, yeah, not much room for bathroom breaks. OK, fast forward to today, the day nurse that relieved me was literally puking out of her car window on the way to work because she attempted to call in and the supervisor said that she had to come in because there was no one to cover. In my opinion, forcing the staff to come in while extremely ill is probably what caused the outbreak among the patients. Staff was the first group to come down with it, then the patients. So, my question is, are you forced to go to work when you have vomiting/diarrhea going on? Aren't we supposed to be advocates for our patients? Shouldn't their well being be our top priority? How is going to work with a wicked virus that can easily be passed on to our patients supposed to help them? For the record, I am NOT one to call in. I know how badly it affects everyone. However, I feel that some things warrant staying home, and this issue is definitely one of them. This is just another reason to hate my job even more, and I have plenty of reasons as it is.
  14. designer-mommy

    New Nurse, what did I get myself into...

    I didn't get that chance in nursing school. They knew that we wanted to learn--we were vocal about it--but they didn't want to be bothered with teaching. I definitely didn't just want to hang out until I graduated. The ones who speak up and get heard are lucky.
  15. designer-mommy

    New Nurse, what did I get myself into...

    That was an awesome post, kdkout. I think, or at least I hope, that a lot of the "ego" that new grad RNs have is a total front. They put on their poker faces for fear that the seasoned RNs will talk crap behind their backs if they show weakness or lack of knowledge. Like both of us have already stated, that is scary! We need to ask questions! Your post helped me realize that it wasn't only my school that had horrible clinical experiences and there are other new nurses that are as "dumb" as I am. Trust me, I really wanted to have all of that patient care that many nursing students had in their clinicals. I started this job with two other new grad RNs, and I was so jealous when I heard about their preceptorships and how they had months of total patient care. I didn't have that. Some people say that it's our fault for choosing a crappy school. Well, my school is accredited and I heard good things about it, so I thought it was OK. And most nursing students, myself included, don't have the luxury of just switching schools mid program. There are waiting lists, different prereqs, etc. We're stuck. Anyway, I'm glad to see that you encourage questions even if you might think "Why doesn't s/he know this?!" This is going to sound horrible, but I didn't even get to give insulin during my clinicals. I was terrified to admit that at my new job, because it is SUCH a basic nursing skill. However, I was even more terrified to kill someone, so I swallowed my pride and asked the friendliest/least likely to talk about me RN at my facility about it. She was supposed to go home about 30 minutes prior, but stayed just to give me a crash course. I just wanted a verbal explanation, but she was like, "Hey, let's go practice!" That was awesome, and I was an insulin giving pro by the end of the night. Now she would make an awesome preceptor. We only get two weeks where I work at, so it's not much at all, but still...she'd do great.